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Compressive Femoral Mononeuropathy Secondary to Acetabular Labral Tear Associated With Paralabral Ganglion Cyst of an Osteoarthritic Hip

A Case Report

Pachore, Javahir A MS(Ortho), M.Ch(Ortho), MNAMS(Ortho), D.Ortho, FCPS1; Shah, Vikram Indrajit MS(Ortho)2; Upadhyay, Sachin MS(Ortho), FIJR3,4; Shah, Kalpesh MS(Ortho)5; Seth, Ashish MS(Ortho)5; Kshatriya, Amish MS(Ortho)5

doi: 10.2106/JBJS.CC.18.00344
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Disclosures

Case: A 61-year-old man presented with a 5-year history of left hip pain and a 6-month history of left groin swelling associated with hypoesthesia and proximal muscle weakness. Radiograph of the left hip showed degenerative joint disease. Magnetic resonance imaging revealed a large, anteriorly displaced paralabral cyst of the left hip joint. Neurophysiologic studies were corroborative of left femoral mononeuropathy. Complete excision of the cyst along with total hip replacement were performed. At 4-year follow-up, there was complete remission with resolution of symptoms.

Conclusions: Our experience emphasizes the importance of identifying and addressing the underlying primary pathologic disease for a satisfactory functional outcome.

1Department of Hip Arthroplasty, Shalby Hospitals, Ahmedabad, India

2Department of Knee and Hip Arthroplasty, Shalby Hospitals, Ahmedabad, India

3Department of Orthopaedics, NSCB Medical College, Jabalpur, India

4Department of Trauma, Joints and Minimal Invasive Surgery, Shalby Hospitals, Jabalpur, India

5Department of Knee and Hip Arthroplasty, Shalby Hospitals, Ahmedabad, Gujarat, India

E-mail address for S. Upadhyay: drsachinupadhyay@gmail.com

Investigation performed at Shalby Hospitals, Ahmedabad, Gujarat, India

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/A821).

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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